Childress Michael O, Christian John A, Ramos-Vara José A, Rosen Nicole K, Ruple Audrey
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, 625 Harrison Street, West Lafayette, IN 47907, USA.
Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, 625 Harrison Street, West Lafayette, IN 47907, USA.
Vet J. 2022 Nov;289:105911. doi: 10.1016/j.tvjl.2022.105911. Epub 2022 Oct 4.
Prognostic factors for dogs with diffuse large B-cell lymphoma (DLBCL) are poorly characterized. Prior reports suggest that dogs with a systemic inflammatory response at the time of lymphoma diagnosis experience inferior survival times. However, no specific biomarkers of inflammation have been identified as prognostic indicators in dogs with DLBCL. Baseline C-reactive protein (CRP) concentrations were measured in banked sera from 91 dogs with chemotherapy-treated DLBCL using a commercially available laboratory assay. Associations between baseline serum CRP concentrations and other variables of potential prognostic significance with progression-free survival (PFS) were tested using Cox proportional hazards modeling. In the final multivariable model, only a complete (rather than partial) remission to chemotherapy (Hazard ratio [HR] 0.02; 95% confidence intervals [CI] 0.01-0.07; P < 0.001) and serum CRP concentration > 1.0 mg/dL (HR, 1.73; 95% CI, 1.02-2.92; P = 0.042) were significantly associated with PFS. The median PFS for dogs with CRP concentration ≤ 1.0 mg/dL (within the test reference interval) was 315 days, while that for dogs with CRP concentration > 1.0 mg/dL was 232 days (P = 0.06). These results suggest that baseline serum CRP concentration is independently associated with progression-free survival in dogs with DLBCL, making it a potentially useful prognostic biomarker for dogs with this cancer.
弥漫性大B细胞淋巴瘤(DLBCL)犬的预后因素尚未得到充分描述。先前的报告表明,淋巴瘤诊断时出现全身炎症反应的犬生存时间较短。然而,在患有DLBCL的犬中,尚未确定任何特定的炎症生物标志物作为预后指标。使用市售实验室检测方法,对91只接受化疗的DLBCL犬的储存血清中的基线C反应蛋白(CRP)浓度进行了测量。使用Cox比例风险模型测试基线血清CRP浓度与其他具有潜在预后意义的变量与无进展生存期(PFS)之间的关联。在最终的多变量模型中,只有化疗完全缓解(而非部分缓解)(风险比[HR] 0.02;95%置信区间[CI] 0.01 - 0.07;P < 0.001)和血清CRP浓度>1.0 mg/dL(HR,1.73;95% CI,1.02 - 2.92;P = 0.042)与PFS显著相关。CRP浓度≤1.0 mg/dL(在测试参考区间内)的犬的中位PFS为315天,而CRP浓度>1.0 mg/dL的犬的中位PFS为232天(P = 0.06)。这些结果表明,基线血清CRP浓度与DLBCL犬的无进展生存期独立相关,使其成为这种癌症犬潜在有用的预后生物标志物。